Urinary symptoms: prevalence and severity in British men aged 55 and over
D J Hunter, C M McKee, N A Black, C F Sanderson, D J Hunter, C M McKee, N A Black, C F Sanderson
Abstract
Objective: To measure the prevalence and severity of urinary symptoms among men aged 55 and over in the British population.
Design: Cross sectional population survey using a postal questionnaire.
Setting: North West Thames health region.
Subjects: 1480 men aged 55 years and over randomly selected from 8 general practices.
Main outcome measures: Self reported frequency and severity of urinary symptoms, their bothersomeness and previous prostate surgery.
Results: The response rate among eligible subjects was 78%. The prevalence of moderate and severe symptoms was 204 per 1000, rising from 160 per 1000 in the 55-59 age group to 259 per 1000 in the 70-74 age group and declining after the age of 80 to 119 per thousand in the 85+ age group. Twelve per cent of men reported previous prostate surgery, and the probability of having had surgery increases steadily with age. About a third of those undergoing surgery have recurrence or persistence of symptoms after surgery. Of men with moderate and severe symptoms, 27.9% reported that their symptoms were a medium or big problem, 36.9% reported that their symptoms interfered with their daily activities at least some of the time, and 43.1% were unhappy or 'felt terrible' about the prospect of a future with their current symptoms.
Conclusion: The prevalence of urinary symptoms in men is lower than previously reported, although there is a substantial number of men who are bothered by, or who find their lives adversely effected by them.
References
- Scand J Urol Nephrol. 1979;13(3):229-36
- J Epidemiol Community Health. 1994 Feb;48(1):58-64
- J Urol. 1984 Sep;132(3):474-9
- Arch Environ Health. 1985 Sep-Oct;40(5):245-53
- JAMA. 1987 Feb 20;257(7):933-6
- Br J Urol. 1987 Dec;60(6):554-9
- JAMA. 1988 May 27;259(20):3018-22
- Fam Pract. 1988 Sep;5(3):193-5
- J Urol. 1990 Mar;143(3):531-2
- Br J Urol. 1990 Aug;66(2):175-6
- Lancet. 1991 Aug 24;338(8765):469-71
- J Urol. 1992 Jun;147(6):1566-73
- Arch Intern Med. 1992 Jul;152(7):1507-12
- J Urol. 1992 Nov;148(5):1549-57; discussion 1564
- J Urol. 1992 Dec;148(6):1817-21
- Int J Epidemiol. 1992 Oct;21(5):959-65
- J Urol. 1993 Aug;150(2 Pt 1):351-8
- Br J Gen Pract. 1993 Aug;43(373):318-21
- Public Health. 1982 Nov;96(6):345-54
Source: PubMed